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Indiana rates for HCPCS J3280

Injection, thiethylperazine maleate, up to 10 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $5.94 / $26.73
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.94 / $5.94 / $5.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $9.19
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.25 / $4.76 / $6.42
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.59 / $4.59 / $4.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.76 / $4.76 / $4.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $13.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.76 / $4.76 / $8.09